Provider Demographics
NPI:1528194396
Name:CROWHURST, DONNA A (RN)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:A
Last Name:CROWHURST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 W RIO BONITO RD
Mailing Address - Street 2:
Mailing Address - City:BIGGS
Mailing Address - State:CA
Mailing Address - Zip Code:95917-9750
Mailing Address - Country:US
Mailing Address - Phone:530-868-0737
Mailing Address - Fax:
Practice Address - Street 1:108 W RIO BONITO RD
Practice Address - Street 2:
Practice Address - City:BIGGS
Practice Address - State:CA
Practice Address - Zip Code:95917-9750
Practice Address - Country:US
Practice Address - Phone:530-868-0737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA430862163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management